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Updated: Jul 14, 2026
03:43
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Infracoccygeal sacropexy
Andrew J Foote1, Jennifer Ralph
1Department of Obstetrics and Gynaecology, Calvary Hospital, Canberra, Australia. ajfoote@actewagl.net.au
Summary
Multifilament meshes used in sacropexy surgery for vault prolapse showed a high mesh erosion rate of 21.1%. This finding suggests avoiding multifilament meshes in favor of safer alternatives for pelvic reconstructive surgery.
Area of Science:
- Urogynecology
- Pelvic Reconstructive Surgery
- Biomaterials in Medicine
Background:
- Vault prolapse is a significant concern in women's health.
- Sacropexy is a surgical option for pelvic organ prolapse.
- Mesh materials are utilized in pelvic reconstructive procedures.
Purpose of the Study:
- To evaluate the incidence of mesh erosion after infracoccygeal sacropexy.
- To compare the erosion rate of multifilament mesh with other mesh types.
Main Methods:
- Fifty-two women with vault prolapse were included in the study.
- All participants underwent infracoccygeal sacropexy using a multifilament mesh.
- Mesh erosion incidence was tracked over a mean follow-up period of 20 weeks.
Main Results:
- A high incidence of mesh erosion was observed at 21.1%.
- This erosion rate is notably higher compared to single-filament meshes used in suburethral slings.
- The mean time to mesh erosion was 20 weeks post-surgery.
Conclusions:
- Multifilament meshes are associated with an unacceptably high rate of erosion in sacropexy.
- The use of multifilament meshes for infracoccygeal sacropexy should be discontinued.
- Further research into safer mesh alternatives for pelvic reconstructive surgery is warranted.
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